Individual provider Active NPI

Ann C Mitzner, MD

  • Obstetrics & Gynecology Physician
  • Key West, FL
National Provider Identifier
1760564876
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME148502 Issued in FL
Practice address
1511 Truman Ave
Key West, FL 33040-7252
Phone
(305) 294-4004
Fax
(305) 294-2197
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME148502 FL Primary

Addresses

Primary practice location

1511 Truman Ave
Key West, FL 33040-7252

Mailing address

1511 Truman Ave
Key West, FL 33040-7252
Phone (305) 294-4004

Other identifiers 1

IdentifierTypeStateIssuer
113854100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mycw96.ecwcloud.com/portal12952/jsp/100mp/login_otp.jsp Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308001876 FL Practitioner - Obstetrics/Gynecology 4789877408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albert Einstein College of Medicine of Yeshiva University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womankind, Inc.Group PAC ID 2264601053, 3 clinicians

Practice addresses (Care Compare)

1511 Truman Ave
Key West, FL 33040-7252
Phone 3052944004102

Hospital & facility affiliations

  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Womankind, Inc. Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients

Locations

1511 Truman Ave
Key West, FL 33040
Phone (305) 294-4004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1760564876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407252",
            "telephone_number": "305-294-4004",
            "fax_number": "305-294-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407252",
            "telephone_number": "305-294-4004",
            "fax_number": "305-294-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZNER",
        "first_name": "ANN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME148502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113854100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mycw96.ecwcloud.com/portal12952/jsp/100mp/login_otp.jsp",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1511 Truman Ave",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330407252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.